Keynote Presentation (In-Person)
Title : Selective denervation for persistent knee pain after total knee arthroplasty: Long-term outcomes
Shaomin Shi, Medical College of Wisconsin, United States
Despite the overall success of total knee arthroplasty (TKA), up to 20% of patients report dissatisfaction, often due to persistent pain. One potential cause is neuroma formation in the sensory nerve branches of the knee. We found that up to 9.7% of primary TKA patients and 21% o [....] » Read More
Title : The etiological diagnosis of torticollis
Ali Al Kaissi, National Ilizarov Medical Research Center for Traumatology and Orthopaedics, Russian Federation, Russian Federation
Congenital bony abnormalities of the spine is not of uncommon occurrence. Failure of successive sessions of physiotherapy to re-align the deviated head is a distinctive sign that the problem is not muscular. Conventional radiographs of the cranio-cervical junction can assist earl [....] » Read More
Title : Safety and efficacy of distraction osteogenesis for height dysphoria
Dimitrios Giotikas, LIPS Battersea Healthcare, United Kingdom
Distraction osteogenesis for stature increase treatment really pushes patients, treating teams and implants to their limits.This is because distraction osteogenesis for stature increase is done simultaneously bilaterally, and involves longer lengthening compared to its other clin [....] » Read More
Title : Intramedullary nailing of trochanteric fractures: The analysis of the radiological anatomy
Igor Belenkiy, Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, Russian Federation
Introduction: The incidence of implant-associated complications after the intramedullary osteosynthesis of proximal femur fractures exceeds 50%. Poor reduction and incorrect implant positioning significantly increase the risk of mechanical complications and the frequency of unsat [....] » Read More
Title : Short-term clinical outcomes on a new dual-taper wedge femoral stem in total hip replacement
Jonathan Courtney, Orthopedic Surgery Associates, United States
The use of dual-tapered stems in total hip arthroplasty is not a new concept, and its popularity in the direct-anterior total hip approach has increased. This study is a follow-up to a one that was presented last year, and analyzed the early clinical and radiological results of t [....] » Read More
Title : Fixed angle locking plate in patellar fractures: A prospective evaluation of functional and radiological outcomes
Balu Ravi, The Royal Wolverhampton NHS Trust, United Kingdom
Background: Patellar fractures account for approximately 1% of all skeletal injuries and can significantly disrupt the extensor mechanism of the knee. Traditional fixation methods such as tension band wiring (TBW) are often associated with complications including hardware irritat [....] » Read More
Title : Predictors Associated with Failing to Achieve a Patient Acceptable Symptom State (PASS) in the Oxford Knee Score (OKS) following Total Knee Arthroplasty (TKA)
Steve Robins, University of Sunderland, United Kingdom
Aim: To define the Patient Acceptable Symptom State (PASS) in the Oxford Knee Score (OKS) following Total Knee Arthroplasty (TKA), and to identify independent preoperative factors associated with failure to achieve this threshold. Methods: A retrospective cohort study tha [....] » Read More
Title : Genetic engineering of VHH-with-multiple-paratopes (Single domain with multidomain antibody megabody) Targeting Multiple (TM) cytokines in the osteoarthtis joints as a potential of DMOAD
Johan, Doctor-Link International, Singapore
VHH is a single-domain antibody that can bind to the epitope(s) of its target antigen(s) in a very efficient way due to its tiny size. Osteoarthritis is a chronic, debilitating disease affecting hundreds of millions of people around the globe. There are no disease- modifying drug [....] » Read More
Title : A longitudinal study of attachment, illness representations, and trust in physician as recovery promoters following Hip Fracture (HF) surgery in older adults
Ola Abu Halawa, Bar-Ilan University: Wolfson Medical Center, Israel
Background: Hip Fractures (HF) are among the most common and debilitating injuries in the elderly population, often resulting in long-term disability, loss of independence, and psychological distress. While most studies in orthopedics have focused primarily on physical recovery m [....] » Read More
Title : Incidence of postoperative progressive segment degeneration at decompression and adjacent segments after minimally invasive lumbar decompression surgery: A 5-year follow-up study
Hasibullah Habibi, Osaka Metropolitan University, Japan
Background: Adjacent segment degeneration (ASD) has been reported previously well after the fusion surgeries however ASD after the microendoscopic and microscopic surgeries has not been reported Objective: There are several reported studies on the incidence of adjacent segme [....] » Read More
Title : Incidence and functional impact of malrotation following intramedullary nailing of femoral fractures: A prospective CT-based study
Navdeep Singh Keer, Sports Injury Centre, VMMC and Safdarjung Hospital, India
Background: Rotational malalignment remains a prevalent yet under-recognised complication following closed intramedullary nailing of femoral shaft fractures. Although computed tomography (CT) provides an accurate assessment, literature correlating malrotation with functional impa [....] » Read More
Title : Reconstructing the ischaemic forearm: Synergistic role of Ilizarov Technique (IT) and soft tissue procedures in Volkmann contracture
Gaurav Verma, Jaipur National University Institute for Medical Science and Research, India
Volkmann Ischemic Contracture (VIC) is a disabling complication of acute compartment syndrome, typically following forearm trauma in pediatric and young adult populations. It results from prolonged ischemia of the deep flexor compartment, leading to muscle necrosis, fibrosis, and [....] » Read More
Title : Comparison of open brostrom-gould repair and arthroscopic anatomical repair of the Anterior Talo Fibular Ligament (ATFL) in the management of Chronic Lateral Ankle Instability (CLAI)
Amgalankhuu Orkhontuul, Mongolian National University of Medical Sciences, Mongolia
Background: Chronic lateral ankle instability (CLAI) is commonly treated with surgical repair of the anterior talofibular ligament (ATFL). While the brostrom-gould procedure is widely accepted, minimally invasive arthroscopic techniques have gained popularity. This study compares [....] » Read More
Title : Adenosine, Lidocaine and Magnesium (ALM) therapy modulates early sex-specific inflammatory, immune responses and augments joint tissue healing following experimental anterior cruciate ligament rupture and reconstruction
Jodie Morris, James Cook University, Australia
Background and Aims: Frontline strategies to minimise sex-specific surgery-induced inflammation, and improve joint tissue healing following anterior cruciate ligament reconstruction (ACLR) are lacking. Adenosine, lidocaine and magnesium (ALM) therapy has been shown to blunt posto [....] » Read More
Title : Perioperative low Eosinophil Count (EC) as a predictor of poor outcomes in patients with a Hip Fracture(HF)
Fathima Insaaf Zahir Ahamed, Canberra Health Services, Australia
Background: There is growing interest in the role of eosinophils in pathogenesis and for prognostication outcomes in various diseases. Our aim was to investigate the prognostic significance of Eosinophil Count (EC) in patients with an osteoporotic Hip Fracture (HF). Methods: W [....] » Read More
Title : Leveraging chatGPT and large language models in orthopaedics: Enhancing patient care, diagnostics, and research
Nicholas Tin Lik Wong, The Chinese University of Hong Kong, Hong Kong
ChatGPT, a cutting-edge Artificial Intelligence (AI) chatbot built on Large Language Models (LLMs), has rapidly emerged as a transformative tool across various sectors, notably in orthopaedics. As the healthcare landscape evolves, its benefits and challenges are becoming increasi [....] » Read More
Title : Transforming orthopaedics: Harnessing the metaverse for enhanced patient care, education, and collaboration
Nicholas Tin Lik Wong, The Chinese University of Hong Kong, Hong Kong
The COVID-19 pandemic has significantly accelerated the urgency for digital transformation across the healthcare landscape, with orthopaedics being one of the fields that stands to benefit substantially. The integration of advanced technologies, including Artificial Intelligence [....] » Read More
Title : One-stage hybrid surgery for limb closed fracture concomitant with major vascular injury
Li Li Shenghua, Chongqing University Three Gorges Hospital, China
Objective: The standardized management of limb closed fracture concomitant with major vascular injury has long presented a significant clinical challenge. Traditional approaches generally entail sequential fracture reduction and fixation, followed by open vascular repair. Unfortu [....] » Read More
Title : Strategies for preventing sports injuries: A structured approach
Massimo Piracci, Medcare Orthopedic and Spine Hospital, United Arab Emirates
Introduction: The Ligament Augmentation and Reconstruction System (LARS) is designed to replicate the mechanical and anatomical properties of natural ligaments.The LARS synthetic ligament is made of 100% industrial strength polyester fibers. Each LARS contains a s [....] » Read More
Title : Giant calf mass as a late manifestation of Total Knee Arthroplasty(TKA) failure- A case report and surgical approach
Ansaba Naseer, North Cumbria Integrated Care NHS Foundation Trust, United Kingdom
Aim: To report a rare case of a massive calf swelling as a late complication of total knee arthroplasty (TKA), highlighting the role of polyethylene wear-induced osteolysis and the surgical approach for management. Study Setting: A 75-year-old male, three years post-primary TK [....] » Read More
Title : Silent breakdown: Spontaneous tendon ruptures in hemodialysis patients
Ansaba Naseer, North Cumbria Integrated Care NHS Foundation Trust, United Kingdom
Spontaneous tendon ruptures are rare but severe complications in patients undergoing long-term hemodialysis for End-Stage Kidney Disease (ESKD). The underlying mechanisms are multifactorial, involving chronic uremia, secondary hyperparathyroidism, vascular calcifications, and col [....] » Read More
Title : Evaluating Surgical Strategies for Adolescent Idiopathic Scoliosis (AIS) : A Meta-Analysis of Posterior Spinal Fusion (PSF) and Vertebral Body Tethering (VBT)
Rahim Nawaz Hussain, South Warwickshire Foundation Trust, United Kingdom
Introduction: Adolescent Idiopathic Scoliosis (AIS) is a complex three-dimensional spinal deformity affecting adolescents worldwide, often necessitating surgical correction in progressive or severe cases. Posterior Spinal Fusion (PSF) has long been the gold standard, providing re [....] » Read More
Title : Defining optimal follow-up for computer-navigated total knee arthroplasty: A 10-year analysis of implant survivorship, outcomes, and patient factors in 1,677 cases
Amin Bolourchi, Golden Jubilee National Hospital, United Kingdom
Background: Computer navigated total knee arthroplasty (TKA) is an effective and established treatment for knee arthritis. However, the optimal duration for patient follow-up remains unclear. This study aims to determine the ideal follow-up period and analyse long-term outcomes a [....] » Read More
Title : Bone health check in patients attended fracture clinic with fragility fractures audit
Ezaldeen Abu Shareah, Derriford Hospital, United Kingdom
Statement of the Problem: The clinical significance of osteoporotic fractures is underscored by the fact that, in adults, approximately one in two women and one in five men will experience one or more fragility fractures. In the United Kingdom, an estimated 549,000 new fragility [....] » Read More
Title : Foraminotomy versus ACDF for proximal foraminal stenosis project
Ezaldeen Abu Shareah, Derriford Hospital, United Kingdom
Background: There is still controversy in the literature over whether Cervical Foraminotomy or Anterior Cervical Discectomy and Fusion (ACDF) is best for treating cervical Radiculopathy. Numerous studies have focused on the respective complication rates of these procedures and ou [....] » Read More
Title : Evaluation of autograft contamination in Anterior Cruciate Ligament Reconstruction (ACLR) and its clinical impact; A systematic review and meta-analysis
Sai Viswan Thiagarajah, Northern Care Alliance, United Kingdom
Background: Understanding the characteristics of intra-operative graft contamination (IOGC) in anterior cruciate ligament reconstruction (ACLR) may guide infection control measures. Aim: To determine the rate and characteristics of intra-operative graft contamination during ACLR [....] » Read More
Title : Local implementation of GIRFT guidance can reduced Cauda Equina Syndrome (CES) related service pressures without negatively impacting diagnosis - Retrospective observational study at a District General Hospital
Sai Viswan Thiagarajah, Northern Care Alliance, United Kingdom
Background: Cauda Equina Syndrome (CES) is a rare but serious neurosurgical emergency requiring substantial resources to ensure its safe exclusion. Get It Right First Time (GIRFT) published recommendations in February 2023 to guide clinicians assessing potential cases with respec [....] » Read More
Title : Clinical value of routine follow-up radiographs in Total Joint Arthroplasty (TJA)
Ali Rajab, University Hospitals Bristol and Weston NHS Foundation Trust, United Kingdom
Background: Performing routine radiographs after total joint arthroplasty (TJA) in post-operative follow-up, typically at four weeks and 12 months, in addition to baseline radiographs obtained immediately post- operatively, is common practice in many institutions. Despite researc [....] » Read More
Title : A meta-analysis of proportions of single-arm studies comparing Tibio Talo Calcaneal (TTC) nailing to Open Reduction & Internal Fixation (ORIF) in ankle fractures in the elderly
Oliver Darwin, East Sussex Healthcare NHS Trust, United Kingdom
Introduction: Ankle fractures are a common injury in the elderly population. Due to osteoporosis, poor soft tissues, and frequent comorbidities, fixation is often challenging and carries high failure rates. Tibio Talo Calcaneal nailing (TTC), also known as hindfoot nailing, has b [....] » Read More
Title : Growth disturbances following paediatric Anterior Cruciate Ligament (ACL) reconstruction: A systematic review
Praveen Rajan, Basildon University Hospital, United Kingdom
Growth disturbances after transphyseal paediatric Anterior Cruciate Ligament (ACL) reconstruction have led to the development of physeal-sparing techniques. The aim of this study is to investigate growth disturbances following paediatric ACL reconstruction and identify associated [....] » Read More
Title : Management of olecranon fractures in the elderly – Literature review and proposal of a treatment algorithm
Praveen Rajan, Basildon University Hospital, United Kingdom
Olecranon fractures in the elderly pose unique challenges, especially the displaced fractures due to associated comorbidities, poor tissue quality, higher complication risks and the need for implant removal. Treatment options range from non-operative to various surgical fixation [....] » Read More
Title : Improving documentation of post-operative review via a proforma in trauma and orthopaedics: A 2-cycle audit
Jeremy Lee Jun Shern, NHS Tayside, United Kingdom
Background:The post-operative review is important in orthopaedics patients to assess neurovascular status for early detection of neurovascular deficits. It is also an opportunity to ensure that low-molecular weight heparin (LMWH) and antibiotics are prescribed, if indicated. In o [....] » Read More
Title : Weight Bearing (WB) status after Peri-Prosthetic Proximal Femur Fracture (PPPFFs) ORIF or revision arthroplasty: A clinical audit
Owen Mitchell, Dorset County Hospital, United Kingdom
Background: Peri-prosthetic proximal femur fractures (PPFFs) are becoming increasingly common due to the rising number of Total Hip Arthroplasties (THAs) in ageing populations. These complex fractures often require either Open Reduction and Internal Fixation (ORIF) or revision ar [....] » Read More
Title : Assessing the accuracy of preoperative templating in Hip Hemi Arthroplasty (HHA) : A retrospective audit
Amr Mohamed Foad Mohamed, Herfordshire NHS Trust, United Kingdom
Introduction: Accurate preoperative templating in Hip Hemi Arthroplasty (HHA) is crucial for optimal implant selection, leg length restoration, and postoperative function. While templating is a core competency in orthopaedic training, variation in accuracy remains, particularly a [....] » Read More
Title : Role of true axial X-ray in management of ACJ Injuries - QIP
Amr Mohamed Foad Mohamed, Herfordshire NHS Trust, United Kingdom
Introduction: Acromio Clavicular (AC) joint dislocations are common injuries. Differentiating between horizontal and vertical instability is challenging, but it is possible to diagnose these conditions using axial radiographs. Accurate joint reduction is easier when surgery is pe [....] » Read More
Title : Optimizing acute Soft Tissue Knee Injury Management (STKIM): A retrospective study on protocol implementation
Ashmitha Vindya, St Peter’s and Ashford Hospital NHS Trust, United Kingdom
Introduction: Soft tissue knee Injuries (STKI) are common presentations in emergency departments, yet no standardized protocol exists for their management. Delays in imaging, specialist review, and physiotherapy contribute to inefficiencies, increased healthcare costs, and prolon [....] » Read More
Title : Optimizing acute soft tissue knee injury management: A retrospective study on protocol implementation
Siddesh Bhushan Gangadharaswamy Nagabhushan, Ashford and St Peter’s Hospital NHS Trust, United Kingdom
Introduction: Soft Tissue Knee Injuries (STKI) are common presentations in emergency departments, yet no standardized protocol exists for their management. Delays in imaging, specialist review, and physiotherapy contribute to inefficiencies, increased healthcare costs, and prolon [....] » Read More
Title : A breakthrough in post-operative care: Differentiating statin-induced necrotising autoimmune myopathy from sepsis in orthopaedic surgery
Sharlet Shabu Pappachan, The Princess Alexandra Hospital Trust, United Kingdom
Background: Differentiating post-operative complications is a critical aspect of orthopaedic surgery. Necrotising autoimmune myopathy, a rare condition, can closely mimic sepsis after hip hemiarthroplasty, leading to diagnostic delays. This presentation highlights a breakthrough [....] » Read More
Title : Assessment of compliance with BOAST Guidelines on weightbearing following lower limb trauma surgery at Arrowe Park Hospital
Surayya Mamun, Arrowe Park Hospital, Wirral University Teaching Hospitals , United Kingdom
Background: The British Orthopaedic Association Standards for Trauma (BOAST) provide national guidance on postoperative weightbearing instructions following lower limb trauma surgery. Clear, standardised terminology and rehabilitation planning are essential to ensure safe and eff [....] » Read More
Title : Assessment of compliance with BOAST Guidelines on weightbearing following lower limb trauma surgery at Arrowe Park Hospital
Ali Ilyas, Arrowe Park Hospital, Wirral University Teaching Hospitals, United Kingdom
Background: The British Orthopaedic Association Standards for Trauma (BOAST) provide national guidance on postoperative weightbearing instructions following lower limb trauma surgery. Clear, standardised terminology and rehabilitation planning are essential to ensure safe and eff [....] » Read More
Title : Improving the management of First-Time and Recurrent Lateral Patellar Dislocations (FTRLPD) in acute orthopaedic care: A clinical audit against BOAST and ESSKA guidelines
Lewis Patrick, National Health Service (NHS), United Kingdom
Background: Lateral patellar dislocation, particularly first-time events (FTPD), can result in recurrent instability, chronic pain, and reduced function if not managed according to established standards. This audit evaluated current practice within NHS Greater Glasgow and Clyde a [....] » Read More
Title : EMG guided chemodenervation for post-laminectomy syndrome and rotator cuff repair
Roger H Coletti, Interventional Health, United States
Post-laminectomy syndrome is reported to range from 20 to 60%. The etiology of post-laminectomy syndrome is stated to be variable but multiple treatment modalities focus on nerve blocks or nerve ablation. Patients requiring a laminectomy procedure commonly have secondary chronic [....] » Read More
Title : Epidemiology of shoulder dislocations in the united states from 1990 to 2019: A temporal study using the global burden of disease database
Ambrose Loc Thanh Ngo, Kansas City University, United States
Introduction: The shoulder joint is a common site for joint dislocation, with many individuals suffering from recurrent dislocations following treatment. The purpose of this study was to evaluate the epidemiology of shoulder dislocations in the United States from 1990 - 2019 [....] » Read More
Title : Temporal analysis of the epidemiology of upper extremity amputations in the United States: An analysis of the global burden of disease database from 1990-2019
Ambrose Loc Thanh Ngo, Kansas City University, United States
Background: Upper extremity amputations are devastating injuries on medical, psychological, and functional levels alike. To better understand their epidemiology, this study aimed to evaluate the region- and sex-specific differences of both unilateral and bilateral upper extremity [....] » Read More
Title : Hyperuricemia-induced proinflammatory and immunosuppressive dysregulation in circulating immune cells
Michelle Ho, ILab Research Institute, United States
Background: Hyperuricemia, characterized by elevated serum uric acid levels, is often asymptomatic but has been associated with gout, kidney diseases, autoimmune disorders, cancer, and metabolic syndrome. The clinical management of asymptomatic hyperuricemia remains controversial [....] » Read More
Title : Injectability analysis of an alginate-based hydrogel for stem cell therapy in Inter Vertebral Disc (IVD) injury treatment
Samer Elhoushy, Washington University in St. Louis, United States
Inter Vertebral Disc (IVD) injury is a major factor contributing to lower back pain, which is believed to affect up to 80% of the general population. Alginate could be a low-cost and effective solution for IVD injury in clinical settings, but its mechanical properties need furthe [....] » Read More
Title : A novel approach to hallux varus repair
Zachary Shih, University of Arizona, United States
Introduction: Hallux varus, characterized by the medial deviation of the great toe, often results from the surgical overcorrection of hallux valgus deformities. Addressing this condition poses a significant challenge due to the need for complex surgical correction that maintains [....] » Read More
Title : Functional outcomes and imaging-related factors in Distal Radius Fractures(DRF) among older adults: A comprehensive review
Joseph Salem Hernandez, University of Puerto Rico School of Medicine, Puerto Rico
Background: Distal Radius Fractures (DRFs) are common in older adults, often resulting in significant functional impairments and reduced quality of life. Radiographic parameters such as dorsal/volar angulation, radial inclination, radial height, ulnar variance, and articular inco [....] » Read More
Title : Cross-cultural adaptation and validation of the Spanish version of the Early-Onset Scoliosis Self Report Questionnaire (EOSQ-SELF)
Joseph Salem Hernandez, University of Puerto Rico School of Medicine, Puerto Rico
Purpose: The Early-Onset Scoliosis Self-Report Questionnaire (EOSQ-SELF) is a self- assessment tool for measuring health-related quality of life (HRQoL) in children with early-onset scoliosis (EOS). It complements the 24-item Early-Onset Scoliosis Questionnaire (EOSQ-24), which r [....] » Read More